Organization
EDGECLIFF VILLAGE EMS
Active
Other names
Town of Edgecliff Village EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER YOUNG (EMS ADMINISTRATOR)
(817) 293-4313
Entity
Organization
Contact information
Practice address
1605 EDGECLIFF RD, FORT WORTH, TX 76134-1121
(817) 293-4313
(817) 293-4660
Mailing address
1605 EDGECLIFF RD, FORT WORTH, TX 76134-1121
(817) 293-4313
(817) 293-4660
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
220001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
508856
BC/BS OF TEXAS
TX
Enumeration date
07/29/2006
Last updated
12/10/2007
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